Form 1098-C - Contributions Of Motor Vehicles, Boats, And Airplanes - 2014 Page 4

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CORRECTED (if checked)
1 Date of contribution
OMB No. 1545-1959
DONEE’S name, street address, city or town, state or province, country, ZIP
Contributions of
or foreign postal code, and telephone no.
2014
Motor Vehicles,
Boats, and
2a Odometer mileage
Airplanes
1098-C
Form
2b Year
2c Make
2d Model
DONEE’S federal identification
DONOR’S identification
3 Vehicle or other identification number
number
number
DONOR’S name
4a
Donee certifies that vehicle was sold in arm’s
length transaction to unrelated party
Street address (including apt. no.)
4b Date of sale
Copy C
4c Gross proceeds from sale (see instructions)
City or town, state or province, country, and ZIP or foreign postal code
$
5a
Donee certifies that vehicle will not be transferred for money, other property, or services before completion of material
For Donor's
improvements or significant intervening use
Records
5b
Donee certifies that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of
donee’s charitable purpose
This
information is
5c Donee certifies the following detailed description of material improvements or significant intervening use and duration of use
being furnished
to the Internal
Revenue
Service
unless box 7
is checked.
6a Did you provide goods or services in exchange for the vehicle? .
Yes
No
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6b Value of goods and services provided in exchange for the vehicle
$
6c Describe the goods and services, if any, that were provided. If this box is checked, donee certifies that the goods and services
consisted solely of intangible religious benefits .
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7 Under the law, the donor may not claim a deduction of more than $500 for this vehicle if this box is checked .
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1098-C
(keep for your records)
Form
Department of the Treasury - Internal Revenue Service

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